Individual
DAMODAR REDDY KUMBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5131 ODONOVAN DR STE 100, BATON ROUGE, LA 70808-4791
(225) 767-4893
(225) 767-5494
Mailing address
5131 ODONOVAN DR STE 100, BATON ROUGE, LA 70808-4791
(225) 767-4893
(225) 767-5494
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD.202414
LA
208M00000X
Hospitalist Physician
MD.202414
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04138518
—
MS
05
—
1316598
—
LA
Enumeration date
10/17/2006
Last updated
06/29/2022
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